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Does local government proliferation reduce maternal mortality? Evidence from Indonesian sub‐national government
Author(s) -
Halimatusa’diyah Iim
Publication year - 2020
Publication title -
asian politics and policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.193
H-Index - 12
eISSN - 1943-0787
pISSN - 1943-0779
DOI - 10.1111/aspp.12555
Subject(s) - indonesian , local government , government (linguistics) , state (computer science) , economic growth , public health , health care , business , political science , development economics , socioeconomics , public administration , economics , medicine , nursing , philosophy , linguistics , algorithm , computer science
This study aims to examine the effect of local government proliferation on maternal mortality in Indonesia. Despite the large body of literature on the determinants of local government proliferation, little is known about the consequences of district proliferation on public health services and outcomes. Drawing on in‐depth interviews with local government officials, health providers, and non‐state actors as well as observations of health care provision in four districts in Indonesia, this study reveals that the lack of local state capacity in the newly created districts contributes to higher rates of maternal mortality in the new districts compared to those of old districts. Not only does the lack of state capacity increase the dependency of local government on central government resources, it also discourages the development of local initiatives and policies to reduce maternal mortality.